<!doctype html>
<html lang="en">
<head>
	<meta charset="UTF-8">
	<title>免费申请设计 - 乐房网家居装修</title>
	<script type="text/javascript" src="__STATIC__/hdjs/jquery-1.8.2.min.js"></script>
	<link rel="stylesheet" href="__STATIC__/hdjs/hdjs.css"/>
	<script type="text/javascript" src="__STATIC__/hdjs/hdjs.min.js"></script>
</head>
<body>
	<div style="width:1200px;margin:0 auto;">
		<div class="hd-title-header">我要申请免费设计</div>
		<form method='post'  class='hd-form' enctype='multipart/form-data'>
			<div class="tab">
				<table class='hd-table hd-table-form hd-form'>
					<tr>
						<th class="hd-w100">装修种类</th>
						<td>
							<input type='radio' name='zxlx' value='1' id='zxlx1' checked='true' />
							<label for='zxlx1'>新房装修</label>&nbsp;&nbsp;
							<input type='radio' name='zxlx' value='2' id='zxlx2' />
							<label for='zxlx2'>二手房装修</label>
						</td>
					</tr>
					<tr>
						<th><font color="red">*</font>您的姓名</th>
						<td><input type='text' name='username' class="hd-w300"/></td>
					</tr>
					<tr>
						<th><font color="red">*</font>手机号码</th>
						<td><input type='text' name='userphone' class="hd-w300"/></td>
					</tr>
					<tr>
						<th>QQ号码</th>
						<td><input type='text' name='userqq' class="hd-w300"/></td>
					</tr>
					
					<tr>
						<th>email地址</th>
						<td><input type='text' name='useremail' class="hd-w300"/></td>
					</tr>
					<tr>
						<th>所在小区</th>
						<td><input type='text' name='szxq' class="hd-w300"/></td>
					</tr>
					<tr>
						<th>房子面积</th>
						<td><input type='text' name='fzmj' class="hd-w300"/></td>
					</tr>
					<tr>
						<th>装修风格</th>
						<td>
							<input type='radio' name='zxfg' id='zxfg1' value='1' checked='true' />
							<label for="zxfg1">现代简约</label>
							<input type='radio' name='zxfg' id='zxfg2' value='2' />
							<label for="zxfg2">田园</label>
							<input type='radio' name='zxfg' id='zxfg3' value='3' />
							<label for="zxfg3">地中海</label>
							<input type='radio' name='zxfg' id='zxfg4' value='4' />
							<label for="zxfg4">欧式</label>
							<input type='radio' name='zxfg' id='zxfg5' value='5' />
							<label for="zxfg5">美式</label>
							<input type='radio' name='zxfg' id='zxfg6' value='6' />
							<label for="zxfg6">中式古典</label>
							<input type='radio' name='zxfg' id='zxfg7' value='7' />
							<label for="zxfg7">东南亚</label>
						</td>
					</tr>
					<tr>
						<th>户型图</th>
						<td><input type='file' name='pic' /></td>
					</tr>
					<tr>
						<th><font color="red">*</font>验证码</th>
						<td>
							<div style="float:left;"><input type='text' name='code' class="hd-w100"/></div>
							<div style="float:left;">
								<img src="{|U:'code'}" class="code" style="cursor: pointer;float:left;"
									 onclick="this.src='{|U:'code'}&'+Math.random()"/>
								<a href="javascript:void(0);" onclick="$('.code').trigger('click')">看不清，换一张</a>
							</div>
						</td>
					</tr>
					
					
				</table>
			</div>
			<div >
				<input type='submit' value='提交' class='hd-btn hd-btn-default'/>
			</div>
		</form>
	</div>
</body>
</html>